Provider Demographics
NPI:1861465122
Name:GUNTHER, CATHY FAYE (PT)
Entity Type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:FAYE
Last Name:GUNTHER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1322 SAINT WILLIAM DR
Mailing Address - Street 2:
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-1274
Mailing Address - Country:US
Mailing Address - Phone:847-680-7386
Mailing Address - Fax:
Practice Address - Street 1:1322 SAINT WILLIAM DR
Practice Address - Street 2:
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-1274
Practice Address - Country:US
Practice Address - Phone:847-680-7386
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist